BSPED2023 Poster Presentations Obesity 1 (9 abstracts)
A higher proportion of physical and mental health CEW in areas of higher socio-economic deprivation demands urgent action: Comparative data across two regions of UK
Louise Apperley 1 , Katherine Hawton 2,3 , Jennifer Parkinson 1 , Meghan Owens 1 , Claire Semple 2 , Amy Fitzgerald 2 , Shelley Easter 2 , Kate Clark 1 , Kim Lund 1 , Ellie Clarke 1 , Dinesh Giri 2,3 , Julian Hamilton-Shield 4,2 & Senthil Senniappan 1
1Alder Hey Children’s Hospital, Liverpool, UK; 2Bristol Royal Hospital for Children, University Hospitals Bristol and Weston NHS Foundations Trust, Bristol, UK; 3University of Bristol, Bristol, UK; 4NIHR Biomedical Research Centre (Nutrition Theme), University of Bristol, Bristol, UK
Introduction: NCMP (National Childhood Measurement Programme) data has highlighted a higher prevalence of childhood obesity in highly deprived areas, however the prevalence of complications from excess weight (CEW) in relation to social deprivation has not been previously reported. The aim of this study is to compare the demographic data along with CEW in children and young people (CYP) with obesity being managed at two different centres in the UK, with a very different socio-economic background.
Methods: Retrospective clinical data (101 patients at site 1 and 84 at site 2) was collected of all new patients seen over a 12-month period (March 2022–February 2023) in two tier-3 multidisciplinary weight management services across the UK (Liverpool and Bristol). Deprivation was compared using IMD (index of multiple deprivation) deciles.
Results: The results are detailed in Table 1. The mean age was 14.1 years (3–17) and 11.8 years (3–17) respectively at sites 1 and 2. Site 1, the most deprived area, observed a higher BMI (body mass index), percentage body fat and a higher rate of CEW. The levels of mental health complications including depression and anxiety were also higher in the most deprived area.
| Site 1 | Site 2 | |
| IMD decile 1 (most deprived) % | 58.2 | 21.7 |
| IMD decile 10 (least deprived) % | 2.0 | 7.2 |
| White British | 81.4 | 64.9 |
| Mean weight (S.D.) kg | 105.2 (+31.0) | 79.9 (+33.1) |
| Mean BMI (SDS) kg/m2 | 39.4 (+3.7) | 33.2 (+3.4) |
| % Body fat (S.D.) | 51.1 (+8.2) | 45.9 (+7.9) |
| Non-alcoholic fatty liver disease % | 19.8 | 15.5 |
| Dyslipidaemia % | 51.9 | 51.0 |
| Idiopathic intracranial hypertension % | 7.9 | 1.2 |
| Impaired glucose tolerance % | 10.2 | 1.2 |
| Depression % | 13.1 | 1.2 |
| Anxiety % | 35.4 | 15.5 |
Conclusion: We have shown, for the first time, that a higher level of socio-economic deprivation is associated with a higher proportion of physical and mental health CEW in CYP. The data highlights the challenges in managing obesity-related complications in areas with high socio-economic deprivation. A targeted whole systems approach is required to reduce long term morbidity and mortality associated with severe obesity with a special focus on areas with higher indices of socio-economic deprivation.Table 1
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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